Trial Outcomes & Findings for Evaluation of Early Bactericidal Activity in Pulmonary Tuberculosis (TMC207-CL001) (NCT NCT01215110)

NCT ID: NCT01215110

Last Updated: 2017-04-26

Results Overview

The rates of change were calculated from the two slopes of the bi-linear (piece-wise) regression, for each treatment group. The nodes (point of inflection, i.e. where slope changes) used in these bi-linear regressions, as determined by visual inspection, were Day 3.5. node. Throughout the analyses, the established node at Day 2.5 was used in the Rifafour e-275 arm. Note that to facilitate interpretation the sign of these slopes were reversed for log10CFU/ml.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

68 participants

Primary outcome timeframe

Fourteen consecutive days of treatment

Results posted on

2017-04-26

Participant Flow

Participant milestones

Participant milestones
Measure
TMC207 100
TMC207- 200 mg Day 1; and 100 mg Days 2-14
TMC207 200
TMC207- 400 mg Day 1; 300 mg Day 2 and 200 mg Days 3-14.
TMC207 300
TMC207- 500 mg Day 1; 400 mg Day 2 and 300 mg Days 3-14
TMC207 400
TMC207- 700 mg Day 1; 500 mg Day 2; and 400 mg Days 3-14
Rifafour e-275 mg
Daily Doses: 30 to 37 kg, 2 tablets; 38 to 54 kg, 3 tablets; 55 to 70 kg, 4 tablets; 71 kg and over, 5 tablets
Overall Study
STARTED
15
15
15
15
8
Overall Study
COMPLETED
15
15
13
14
8
Overall Study
NOT COMPLETED
0
0
2
1
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Evaluation of Early Bactericidal Activity in Pulmonary Tuberculosis (TMC207-CL001)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
TMC207 100
n=15 Participants
TMC207- 200 mg Day 1 and 100 mg Days 2-14
TMC207 200
n=15 Participants
TMC207- 400 mg Day 1; 300 mg Day 2 and 200 mg Days 3-14
TMC207 300
n=15 Participants
TMC207- 500 mg Day 1; 400 mg Day 2 and 300 mg Days 3-14.
TMC207 400
n=15 Participants
TMC207- 700 mg Day 1; 500 mg Day 2; 400 mg Days 3-14
Rifafour e-275 mg
n=8 Participants
Daily Doses: 30 to 37 kg, 2 tablets; 38 to 54 kg, 3 tablets; 55 to 70 kg, 4 tablets; 71 kg and over, 5 tablets
Total
n=68 Participants
Total of all reporting groups
Age, Continuous
29.5 years
STANDARD_DEVIATION 9.4 • n=5 Participants
34.7 years
STANDARD_DEVIATION 18.1 • n=7 Participants
31.4 years
STANDARD_DEVIATION 7.4 • n=5 Participants
31.8 years
STANDARD_DEVIATION 10.9 • n=4 Participants
26.1 years
STANDARD_DEVIATION 4.9 • n=21 Participants
27 years
STANDARD_DEVIATION 11.45 • n=8 Participants
Sex: Female, Male
Female
6 Participants
n=5 Participants
4 Participants
n=7 Participants
7 Participants
n=5 Participants
5 Participants
n=4 Participants
2 Participants
n=21 Participants
24 Participants
n=8 Participants
Sex: Female, Male
Male
9 Participants
n=5 Participants
11 Participants
n=7 Participants
8 Participants
n=5 Participants
10 Participants
n=4 Participants
6 Participants
n=21 Participants
44 Participants
n=8 Participants
Race/Ethnicity, Customized
Black
6 participants
n=5 Participants
5 participants
n=7 Participants
9 participants
n=5 Participants
7 participants
n=4 Participants
6 participants
n=21 Participants
33 participants
n=8 Participants
Race/Ethnicity, Customized
Mixed Ethnic
9 participants
n=5 Participants
10 participants
n=7 Participants
6 participants
n=5 Participants
8 participants
n=4 Participants
2 participants
n=21 Participants
35 participants
n=8 Participants
Height
1.638 meters (m)
STANDARD_DEVIATION 0.082 • n=5 Participants
1.677 meters (m)
STANDARD_DEVIATION 0.094 • n=7 Participants
1.674 meters (m)
STANDARD_DEVIATION 0.082 • n=5 Participants
1.660 meters (m)
STANDARD_DEVIATION 0.057 • n=4 Participants
1.660 meters (m)
STANDARD_DEVIATION 0.087 • n=21 Participants
1.662 meters (m)
STANDARD_DEVIATION 0.080 • n=8 Participants
Weight at Day 1
53.0 kilograms (kg)
STANDARD_DEVIATION 7.74 • n=5 Participants
52.5 kilograms (kg)
STANDARD_DEVIATION 7.55 • n=7 Participants
52.7 kilograms (kg)
STANDARD_DEVIATION 8.20 • n=5 Participants
50.6 kilograms (kg)
STANDARD_DEVIATION 5.96 • n=4 Participants
49.1 kilograms (kg)
STANDARD_DEVIATION 6.69 • n=21 Participants
51.8 kilograms (kg)
STANDARD_DEVIATION 7.23 • n=8 Participants
Body Mass Index (BMI)
19.80 kg/m^2
STANDARD_DEVIATION 2.988 • n=5 Participants
18.63 kg/m^2
STANDARD_DEVIATION 1.955 • n=7 Participants
18.80 kg/m^2
STANDARD_DEVIATION 2.754 • n=5 Participants
18.36 kg/m^2
STANDARD_DEVIATION 2.174 • n=4 Participants
17.83 kg/m^2
STANDARD_DEVIATION 2.018 • n=21 Participants
18.77 kg/m^2
STANDARD_DEVIATION 2.459 • n=8 Participants
HIV Status
Positive
1 participants
n=5 Participants
1 participants
n=7 Participants
1 participants
n=5 Participants
2 participants
n=4 Participants
1 participants
n=21 Participants
6 participants
n=8 Participants
HIV Status
Negative
14 participants
n=5 Participants
14 participants
n=7 Participants
14 participants
n=5 Participants
13 participants
n=4 Participants
7 participants
n=21 Participants
62 participants
n=8 Participants
Baseline log10 colony forming units (CFU) of M. Tuberculosis per ml sputum
6.302 log(10) CFU/ml
STANDARD_DEVIATION 0.697 • n=5 Participants
6.001 log(10) CFU/ml
STANDARD_DEVIATION 0.903 • n=7 Participants
6.071 log(10) CFU/ml
STANDARD_DEVIATION 1.087 • n=5 Participants
6.625 log(10) CFU/ml
STANDARD_DEVIATION 0.756 • n=4 Participants
5.995 log(10) CFU/ml
STANDARD_DEVIATION 1.018 • n=21 Participants
6.199 log(10) CFU/ml
STANDARD_DEVIATION 0.892 • n=8 Participants
Baseline time to sputum culture positivity (TTP) in liquid culture media
104.8 hours
STANDARD_DEVIATION 23.5 • n=5 Participants
111.1 hours
STANDARD_DEVIATION 30.6 • n=7 Participants
115.7 hours
STANDARD_DEVIATION 40.8 • n=5 Participants
88.5 hours
STANDARD_DEVIATION 10.8 • n=4 Participants
106.7 hours
STANDARD_DEVIATION 28.8 • n=21 Participants
105.3 hours
STANDARD_DEVIATION 26.9 • n=8 Participants

PRIMARY outcome

Timeframe: Fourteen consecutive days of treatment

Population: Because of insufficient data for bilinear regression, four patients were omitted from EBA(CFU) calculations.

The rates of change were calculated from the two slopes of the bi-linear (piece-wise) regression, for each treatment group. The nodes (point of inflection, i.e. where slope changes) used in these bi-linear regressions, as determined by visual inspection, were Day 3.5. node. Throughout the analyses, the established node at Day 2.5 was used in the Rifafour e-275 arm. Note that to facilitate interpretation the sign of these slopes were reversed for log10CFU/ml.

Outcome measures

Outcome measures
Measure
TMC207 100
n=14 Participants
TMC207- 200 mg Day 1 and 100 mg Days 2-14
TMC207 200
n=15 Participants
TMC207- 400 mg Day 1; 300 mg Day 2 and 200 mg Days 3-14
TMC207 300
n=13 Participants
TMC207- 500 mg Day 1; 400 mg Day 2 and 300 mg Days 3-14.
TMC207 400
n=14 Participants
TMC207- 700 mg Day 1; 500 mg Day 2; 400 mg Days 3-14
Rifafour e-275 mg
n=8 Participants
Daily Doses: 30 to 37 kg, 2 tablets; 38 to 54 kg, 3 tablets; 55 to 70 kg, 4 tablets; 71 kg and over, 5 tablets
Early Bactericidal Activity (EBA) Measured as the Mean Rate of Change of log10 Colony Forming Units (CFU) of M. Tuberculosis Per ml Sputum on Solid Medium Over Time (Days 0-14).
0.040 log10CFU/ml/day
Standard Deviation 0.068
0.056 log10CFU/ml/day
Standard Deviation 0.051
0.077 log10CFU/ml/day
Standard Deviation 0.064
0.104 log10CFU/ml/day
Standard Deviation 0.077
0.112 log10CFU/ml/day
Standard Deviation 0.077

SECONDARY outcome

Timeframe: Days 7-14 of fourteen consecutive days of treatment

Population: Because of insufficient data for bilinear regression, four patients were omitted from EBA(CFU) calculations.

The rates of change were calculated from the two slopes of the bi-linear (piece-wise) regression, for each treatment group. The nodes (point of inflection, i.e. where slope changes) used in these bi-linear regressions, as determined by visual inspection, were Day 3.5. node. Throughout the analyses, the established node at Day 2.5 was used in the Rifafour e-275 arm. Since Day 7 is later than the node day, the rate of change for this outcome is equal to the slope at Day 14. Note that to facilitate interpretation the sign of these slopes were reversed for log10CFU/ml.

Outcome measures

Outcome measures
Measure
TMC207 100
n=14 Participants
TMC207- 200 mg Day 1 and 100 mg Days 2-14
TMC207 200
n=15 Participants
TMC207- 400 mg Day 1; 300 mg Day 2 and 200 mg Days 3-14
TMC207 300
n=13 Participants
TMC207- 500 mg Day 1; 400 mg Day 2 and 300 mg Days 3-14.
TMC207 400
n=14 Participants
TMC207- 700 mg Day 1; 500 mg Day 2; 400 mg Days 3-14
Rifafour e-275 mg
n=8 Participants
Daily Doses: 30 to 37 kg, 2 tablets; 38 to 54 kg, 3 tablets; 55 to 70 kg, 4 tablets; 71 kg and over, 5 tablets
Early Bactericidal Activity (EBA) Measured as the Mean Rate of Change of log10 Colony Forming Units (CFU) of M. Tuberculosis Per ml Sputum on Solid Medium Over Time (Days 7-14).
0.053 log10CFU/ml/day
Standard Deviation 0.088
0.086 log10CFU/ml/day
Standard Deviation 0.048
0.098 log10CFU/ml/day
Standard Deviation 0.084
0.107 log10CFU/ml/day
Standard Deviation 0.082
0.046 log10CFU/ml/day
Standard Deviation 0.101

SECONDARY outcome

Timeframe: Days 2-14 of fourteen consecutive days of treatment

Population: Because of insufficient data for bilinear regression, four patients were omitted from EBA(CFU) calculations.

The rates of change were calculated from the two slopes of the bi-linear (piece-wise) regression, for each treatment group. The nodes (point of inflection, i.e. where slope changes) used in these bi-linear regressions, as determined by visual inspection, were Day 3.5. node. Throughout the analyses, the established node at Day 2.5 was used in the Rifafour e-275 arm. Note that to facilitate interpretation the sign of these slopes were reversed for log10CFU/ml.

Outcome measures

Outcome measures
Measure
TMC207 100
n=14 Participants
TMC207- 200 mg Day 1 and 100 mg Days 2-14
TMC207 200
n=15 Participants
TMC207- 400 mg Day 1; 300 mg Day 2 and 200 mg Days 3-14
TMC207 300
n=13 Participants
TMC207- 500 mg Day 1; 400 mg Day 2 and 300 mg Days 3-14.
TMC207 400
n=14 Participants
TMC207- 700 mg Day 1; 500 mg Day 2; 400 mg Days 3-14
Rifafour e-275 mg
n=8 Participants
Daily Doses: 30 to 37 kg, 2 tablets; 38 to 54 kg, 3 tablets; 55 to 70 kg, 4 tablets; 71 kg and over, 5 tablets
Early Bactericidal Activity (EBA) Measured as the Mean Rate of Change of log10 Colony Forming Units (CFU) of M. Tuberculosis Per ml Sputum on Solid Medium Over Time (Days 2-14).
0.047 log10CFU/ml/day
Standard Deviation 0.074
0.071 log10CFU/ml/day
Standard Deviation 0.047
0.088 log10CFU/ml/day
Standard Deviation 0.071
0.106 log10CFU/ml/day
Standard Deviation 0.078
0.046 log10CFU/ml/day
Standard Deviation 0.101

SECONDARY outcome

Timeframe: Two consecutive days of treatment

Population: Because of insufficient data for bilinear regression, four patients were omitted from EBA(CFU) calculations.

The rates of change were calculated from the two slopes of the bi-linear (piece-wise) regression, for each treatment group. The nodes (point of inflection, i.e. where slope changes) used in these bi-linear regressions, as determined by visual inspection, were Day 3.5. node. Throughout the analyses, the established node at Day 2.5 was used in the Rifafour e-275 arm. Since this range (Days0-2) is before the node day, the rate of change for this outcome is equal to the slope at Day 0. Note that to facilitate interpretation the sign of these slopes were reversed for log10CFU/ml.

Outcome measures

Outcome measures
Measure
TMC207 100
n=14 Participants
TMC207- 200 mg Day 1 and 100 mg Days 2-14
TMC207 200
n=15 Participants
TMC207- 400 mg Day 1; 300 mg Day 2 and 200 mg Days 3-14
TMC207 300
n=13 Participants
TMC207- 500 mg Day 1; 400 mg Day 2 and 300 mg Days 3-14.
TMC207 400
n=14 Participants
TMC207- 700 mg Day 1; 500 mg Day 2; 400 mg Days 3-14
Rifafour e-275 mg
n=8 Participants
Daily Doses: 30 to 37 kg, 2 tablets; 38 to 54 kg, 3 tablets; 55 to 70 kg, 4 tablets; 71 kg and over, 5 tablets
Early Bactericidal Activity (EBA) Measured as the Mean Rate of Change of log10 Colony Forming Units (CFU) of M. Tuberculosis Per ml Sputum on Solid Medium Over Time (Days 0-2).
0.004 log10CFU/ml/day
Standard Deviation 0.168
-0.033 log10CFU/ml/day
Standard Deviation 0.128
0.015 log10CFU/ml/day
Standard Deviation 0.149
0.093 log10CFU/ml/day
Standard Deviation 0.136
0.413 log10CFU/ml/day
Standard Deviation 0.291

SECONDARY outcome

Timeframe: Fourteen consecutive days of treatment

Population: Because of insufficient data for bilinear regression, nine participants were omitted from TTP calculations.

The TTP was measured in the Mycobacterial Growth Indicator Tube (MGIT) (Bactec MGIT960) automated liquid culture system from overnight sputum. TTP rates of change were calculated from the two slopes of the bi-linear (piece-wise) regression, for each treatment group.

Outcome measures

Outcome measures
Measure
TMC207 100
n=13 Participants
TMC207- 200 mg Day 1 and 100 mg Days 2-14
TMC207 200
n=13 Participants
TMC207- 400 mg Day 1; 300 mg Day 2 and 200 mg Days 3-14
TMC207 300
n=13 Participants
TMC207- 500 mg Day 1; 400 mg Day 2 and 300 mg Days 3-14.
TMC207 400
n=12 Participants
TMC207- 700 mg Day 1; 500 mg Day 2; 400 mg Days 3-14
Rifafour e-275 mg
n=8 Participants
Daily Doses: 30 to 37 kg, 2 tablets; 38 to 54 kg, 3 tablets; 55 to 70 kg, 4 tablets; 71 kg and over, 5 tablets
Rate of Change in Time to Sputum Culture Positivity (TTP)(Hours) in Liquid Culture Media (Days 0-14)
4.0 hours/day
Standard Deviation 5.1
4.2 hours/day
Standard Deviation 3.1
4.9 hours/day
Standard Deviation 5.1
5.4 hours/day
Standard Deviation 3.4
14.3 hours/day
Standard Deviation 11.4

SECONDARY outcome

Timeframe: Two consecutive days of treatment

Population: Because of insufficient data for bilinear regression, nine participants were omitted from TTP calculations.

The TTP was measured in the Mycobacterial Growth Indicator Tube (MGIT) (Bactec MGIT960) automated liquid culture system from overnight sputum. TTP rates of change were calculated from the two slopes of the bi-linear (piece-wise) regression, for each treatment group.

Outcome measures

Outcome measures
Measure
TMC207 100
n=13 Participants
TMC207- 200 mg Day 1 and 100 mg Days 2-14
TMC207 200
n=13 Participants
TMC207- 400 mg Day 1; 300 mg Day 2 and 200 mg Days 3-14
TMC207 300
n=13 Participants
TMC207- 500 mg Day 1; 400 mg Day 2 and 300 mg Days 3-14.
TMC207 400
n=12 Participants
TMC207- 700 mg Day 1; 500 mg Day 2; 400 mg Days 3-14
Rifafour e-275 mg
n=8 Participants
Daily Doses: 30 to 37 kg, 2 tablets; 38 to 54 kg, 3 tablets; 55 to 70 kg, 4 tablets; 71 kg and over, 5 tablets
Rate of Change in Time to Sputum Culture Positivity (TTP)(Hours) in Liquid Culture Media (Days 0-2)
1.5 hours/day
Standard Deviation 2.3
3.7 hours/day
Standard Deviation 4.3
4.1 hours/day
Standard Deviation 4.7
6.2 hours/day
Standard Deviation 3.3
27.3 hours/day
Standard Deviation 13.8

SECONDARY outcome

Timeframe: Days 2-14 of fourteen consecutive days of treatment

Population: Because of insufficient data for bilinear regression, nine participants were omitted from TTP calculations.

The TTP was measured in the Mycobacterial Growth Indicator Tube (MGIT) (Bactec MGIT960) automated liquid culture system from overnight sputum. TTP rates of change were calculated from the two slopes of the bi-linear (piece-wise) regression, for each treatment group.

Outcome measures

Outcome measures
Measure
TMC207 100
n=13 Participants
TMC207- 200 mg Day 1 and 100 mg Days 2-14
TMC207 200
n=13 Participants
TMC207- 400 mg Day 1; 300 mg Day 2 and 200 mg Days 3-14
TMC207 300
n=13 Participants
TMC207- 500 mg Day 1; 400 mg Day 2 and 300 mg Days 3-14.
TMC207 400
n=12 Participants
TMC207- 700 mg Day 1; 500 mg Day 2; 400 mg Days 3-14
Rifafour e-275 mg
n=8 Participants
Daily Doses: 30 to 37 kg, 2 tablets; 38 to 54 kg, 3 tablets; 55 to 70 kg, 4 tablets; 71 kg and over, 5 tablets
Rate of Change in Time to Sputum Culture Positivity (TTP)(Hours) in Liquid Culture Media (Days 2-14)
4.4 hours/day
Standard Deviation 5.9
4.3 hours/day
Standard Deviation 3.1
5.1 hours/day
Standard Deviation 5.3
5.3 hours/day
Standard Deviation 3.5
11.5 hours/day
Standard Deviation 13.9

SECONDARY outcome

Timeframe: Days 7-14 of fourteen consecutive days of treatment

Population: Because of insufficient data for bilinear regression, nine participants were omitted from TTP calculations.

The TTP was measured in the Mycobacterial Growth Indicator Tube (MGIT) (Bactec MGIT960) automated liquid culture system from overnight sputum. TTP rates of change were calculated from the two slopes of the bi-linear (piece-wise) regression, for each treatment group.

Outcome measures

Outcome measures
Measure
TMC207 100
n=13 Participants
TMC207- 200 mg Day 1 and 100 mg Days 2-14
TMC207 200
n=13 Participants
TMC207- 400 mg Day 1; 300 mg Day 2 and 200 mg Days 3-14
TMC207 300
n=13 Participants
TMC207- 500 mg Day 1; 400 mg Day 2 and 300 mg Days 3-14.
TMC207 400
n=12 Participants
TMC207- 700 mg Day 1; 500 mg Day 2; 400 mg Days 3-14
Rifafour e-275 mg
n=8 Participants
Daily Doses: 30 to 37 kg, 2 tablets; 38 to 54 kg, 3 tablets; 55 to 70 kg, 4 tablets; 71 kg and over, 5 tablets
Rate of Change in Time to Sputum Culture Positivity (TTP)(Hours) in Liquid Culture Media (Days 7-14)
6.9 hours/day
Standard Deviation 11.2
4.8 hours/day
Standard Deviation 4.4
5.9 hours/day
Standard Deviation 7.2
4.4 hours/day
Standard Deviation 5.0
11.5 hours/day
Standard Deviation 13.9

SECONDARY outcome

Timeframe: Day 1 (0, 1, 3, 5, 6, 8, 12, and 24 hour post-dose) or Day 14 (0, 1, 3, 5, 6, 8, 12, 24, and 30 hour post-dose)

Population: On Day 14, N=13 for TMC207 300 group and N=14 for TMC207 400 group due to early withdrawal of three participants

Outcome measures

Outcome measures
Measure
TMC207 100
n=15 Participants
TMC207- 200 mg Day 1 and 100 mg Days 2-14
TMC207 200
n=15 Participants
TMC207- 400 mg Day 1; 300 mg Day 2 and 200 mg Days 3-14
TMC207 300
n=15 Participants
TMC207- 500 mg Day 1; 400 mg Day 2 and 300 mg Days 3-14.
TMC207 400
n=15 Participants
TMC207- 700 mg Day 1; 500 mg Day 2; 400 mg Days 3-14
Rifafour e-275 mg
Daily Doses: 30 to 37 kg, 2 tablets; 38 to 54 kg, 3 tablets; 55 to 70 kg, 4 tablets; 71 kg and over, 5 tablets
Summary of Statistical Analysis of TMC207 Maximum Plasma Concentration Following Dosing (C(Max)) on Days 1 and 14
C(max) Day 1
1846.13 ng/mL
Standard Deviation 613.55
2700.73 ng/mL
Standard Deviation 858.54
3128.00 ng/mL
Standard Deviation 1239.26
5386.67 ng/mL
Standard Deviation 3069.95
Summary of Statistical Analysis of TMC207 Maximum Plasma Concentration Following Dosing (C(Max)) on Days 1 and 14
C(max) Day 14
1553.27 ng/mL
Standard Deviation 691.36
2884.67 ng/mL
Standard Deviation 789.44
3902.31 ng/mL
Standard Deviation 771.77
5178.57 ng/mL
Standard Deviation 2663.75

SECONDARY outcome

Timeframe: Day 1 (0, 1, 3, 5, 6, 8, 12, and 24 hour post-dose) or Day 14 (0, 1, 3, 5, 6, 8, 12, 24, and 30 hour post-dose)

Population: On Day 14, N=13 for TMC207 300 group and N=14 for TMC207 400 group due to early withdrawal of three participants

Outcome measures

Outcome measures
Measure
TMC207 100
n=15 Participants
TMC207- 200 mg Day 1 and 100 mg Days 2-14
TMC207 200
n=15 Participants
TMC207- 400 mg Day 1; 300 mg Day 2 and 200 mg Days 3-14
TMC207 300
n=15 Participants
TMC207- 500 mg Day 1; 400 mg Day 2 and 300 mg Days 3-14.
TMC207 400
n=15 Participants
TMC207- 700 mg Day 1; 500 mg Day 2; 400 mg Days 3-14
Rifafour e-275 mg
Daily Doses: 30 to 37 kg, 2 tablets; 38 to 54 kg, 3 tablets; 55 to 70 kg, 4 tablets; 71 kg and over, 5 tablets
Summary of Statistical Analysis of TMC207 Time of Maximum Plasma Concentration (T(Max)) on Days 1 and 14
T(max) Day 1
5.33 hour
Standard Deviation 1.80
5.20 hour
Standard Deviation 1.90
5.53 hour
Standard Deviation 0.83
5.67 hour
Standard Deviation 1.05
Summary of Statistical Analysis of TMC207 Time of Maximum Plasma Concentration (T(Max)) on Days 1 and 14
T(max) Day 14
5.13 hour
Standard Deviation 1.19
4.60 hour
Standard Deviation 1.06
5.15 hour
Standard Deviation 1.46
5.29 hour
Standard Deviation 1.59

SECONDARY outcome

Timeframe: Day 1 (0, 1, 3, 5, 6, 8, 12, and 24 hour post-dose) or Day 14 (0, 1, 3, 5, 6, 8, 12, and 24 hour post-dose)

Population: On Day 14, N=13 for TMC207 300 group and N=14 for TMC207 400 group due to early withdrawal of three participants

Outcome measures

Outcome measures
Measure
TMC207 100
n=15 Participants
TMC207- 200 mg Day 1 and 100 mg Days 2-14
TMC207 200
n=15 Participants
TMC207- 400 mg Day 1; 300 mg Day 2 and 200 mg Days 3-14
TMC207 300
n=15 Participants
TMC207- 500 mg Day 1; 400 mg Day 2 and 300 mg Days 3-14.
TMC207 400
n=15 Participants
TMC207- 700 mg Day 1; 500 mg Day 2; 400 mg Days 3-14
Rifafour e-275 mg
Daily Doses: 30 to 37 kg, 2 tablets; 38 to 54 kg, 3 tablets; 55 to 70 kg, 4 tablets; 71 kg and over, 5 tablets
Summary of Statistical Analysis of TMC207 Area Under the Concentration-time Curve Over the Dose Interval of 0 to 24 h (AUC(0-24)) on Day 1 and Day 14
AUC(0-24) Day 1
18995.57 ng*h/mL
Standard Deviation 6947.92
26619.51 ng*h/mL
Standard Deviation 8453.09
31357.35 ng*h/mL
Standard Deviation 10596.74
53179.27 ng*h/mL
Standard Deviation 20699.64
Summary of Statistical Analysis of TMC207 Area Under the Concentration-time Curve Over the Dose Interval of 0 to 24 h (AUC(0-24)) on Day 1 and Day 14
AUC(0-24) Day 14
18689.03 ng*h/mL
Standard Deviation 4450.56
33314.07 ng*h/mL
Standard Deviation 5780.02
50547.15 ng*h/mL
Standard Deviation 11914.16
69069.64 ng*h/mL
Standard Deviation 27062.36

Adverse Events

TMC207 100

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

TMC207 200

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

TMC207 300

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

TMC207 400

Serious events: 1 serious events
Other events: 5 other events
Deaths: 0 deaths

Rifafour e-275 mg

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
TMC207 100
n=15 participants at risk
TMC207- 200 mg Day 1 and 100 mg Days 2-14
TMC207 200
n=15 participants at risk
TMC207- 400 mg Day 1; 300 mg Day 2 and 200 mg Days 3-14
TMC207 300
n=15 participants at risk
TMC207- 500 mg Day 1; 400 mg Day 2 and 300 mg Days 3-14.
TMC207 400
n=15 participants at risk
TMC207- 700 mg Day 1; 500 mg Day 2; 400 mg Days 3-14
Rifafour e-275 mg
n=8 participants at risk
Daily Doses: 30 to 37 kg, 2 tablets; 38 to 54 kg, 3 tablets; 55 to 70 kg, 4 tablets; 71 kg and over, 5 tablets
Hepatobiliary disorders
Hepatitis
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
6.7%
1/15 • Number of events 1 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/8 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.

Other adverse events

Other adverse events
Measure
TMC207 100
n=15 participants at risk
TMC207- 200 mg Day 1 and 100 mg Days 2-14
TMC207 200
n=15 participants at risk
TMC207- 400 mg Day 1; 300 mg Day 2 and 200 mg Days 3-14
TMC207 300
n=15 participants at risk
TMC207- 500 mg Day 1; 400 mg Day 2 and 300 mg Days 3-14.
TMC207 400
n=15 participants at risk
TMC207- 700 mg Day 1; 500 mg Day 2; 400 mg Days 3-14
Rifafour e-275 mg
n=8 participants at risk
Daily Doses: 30 to 37 kg, 2 tablets; 38 to 54 kg, 3 tablets; 55 to 70 kg, 4 tablets; 71 kg and over, 5 tablets
Investigations
Aspartate aminotransferase increased
6.7%
1/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/8 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
Investigations
Hepatic enzyme increased
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
6.7%
1/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/8 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
Investigations
Weight decreased
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
12.5%
1/8 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
General disorders
Chest discomfort
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
6.7%
1/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/8 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
General disorders
Non-cardiac chest pain
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
12.5%
1/8 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
Infections and infestations
Body tinea
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
6.7%
1/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/8 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
Nervous system disorders
Headache
13.3%
2/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
6.7%
1/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
6.7%
1/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/8 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
Nervous system disorders
Dizziness
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
12.5%
1/8 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
Skin and subcutaneous tissue disorders
Pruritus
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
13.3%
2/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
6.7%
1/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/8 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
Skin and subcutaneous tissue disorders
Acne
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
6.7%
1/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/8 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
Skin and subcutaneous tissue disorders
Rash
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
6.7%
1/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/8 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
Skin and subcutaneous tissue disorders
Rash macular
6.7%
1/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/8 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
Skin and subcutaneous tissue disorders
Skin exfoliation
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
6.7%
1/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/8 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
Gastrointestinal disorders
Vomiting
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
6.7%
1/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
25.0%
2/8 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
Gastrointestinal disorders
Nausea
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
6.7%
1/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/8 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
Gastrointestinal disorders
Toothache
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
6.7%
1/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/8 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
Musculoskeletal and connective tissue disorders
Pain in extremity
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
6.7%
1/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
6.7%
1/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/8 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
Musculoskeletal and connective tissue disorders
Arthralgia
6.7%
1/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/8 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
Musculoskeletal and connective tissue disorders
Joint swelling
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
6.7%
1/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/15 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.
0.00%
0/8 • 49 days
Adverse events were collected by the Investigator from the time a participant signed the Informed Consent Form until the end of follow-up visit (Day 49). Data reported are treatment-emergent adverse events.

Additional Information

Daniel E. Everitt, MD, Vice President and Senior Medical Officer

Global Alliance for TB Drug Development

Phone: 212-227-7540

Results disclosure agreements

  • Principal investigator is a sponsor employee The investigator or any Sub-Investigator shall submit any oral or written publication or abstract concerning this study to the Sponsor not less than thirty (30) days prior to submission to any journal, other publication or meeting, for review and removal of confidential information.
  • Publication restrictions are in place

Restriction type: OTHER